Non-Competition Permit Application

Discipline

Minikhana Event Type

MX Event Type

Enduro Event Type

Classic MX Event Type

Dirt Track Event Type

Road Race Event Type

Speedway Event Type

Trials Event Type

Quads Event Type

Other Options

CampingWorking BeeType option 3Type option 4

Permit Fee

Rider Levy

PLEASE NOTE: EVERY PERMIT MUST HAVE AN EVENT REPORT SUBMITTED TO MV WITHIN 5 DAYS OF EVENT. FAILURE TO DO SO WILL RESULT IN NO FURTHER PERMITS BEING ISSUED.

Provide the details of who is applying for the permit:

Club/Promoter*

If a coach please provide name ABN is registered under

ABN:

Coaches only

Post code ABN registered to

Coaches Only

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name of person applying*

Phone Number*

Please enter a valid phone number.

Date of application

Date

Provide the details of the event:

Meeting Name

Date of Meeting

Date

End Date (If applicable)

Date

Start Time

Hour Minutes

AM/PM Option

End Time

Hour Minutes

AM/PM Option

Contact

Venue

First Aid Provider Name*

Contact Number*

MOTORCYCLING VICTORIA PERMIT APPLICATION

Non-Competition Event

PERMIT

Nominate your First Aid Provider

MOTORCYCLING VICTORIA PERMIT APPLICATION

OFFICIAL/COACH/RIDE PARK SUPERVISOR NOMINATION